Improving Maternal and Child Health Across the Life Course: Where Do We Go from Here?

Lu, Michael C.

doi:10.1007/s10995-013-1400-0

Cited by 21 publications

(17 citation statements)

References 21 publications

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“…From a public health perspective, campaigns emphasizing preconception care and a life course approach to maternal health, including prevention of obesity, may be able to reduce the risks from a factor that is strongly associated with primary cesareans. More importantly, recent systematic reviews and meta analyses suggest that reducing prepregnancy BMI could have a positive change to population‐based research.…”

Section: Discussionmentioning

confidence: 99%

Prepregnancy Obesity and Primary Cesareans among Otherwise Low‐Risk Mothers in 38 U.S. States in 2012

Declercq

MacDorman

Osterman

et al. 2015

Birth

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Background The United States has recently experienced increases in both its rate of obesity and its cesarean rate. Our objective was to use a new item measuring prepregnancy body mass index (BMI) on the U.S. Standard Certificate of Live Birth to examine at a population level the relationship between maternal obesity and primary cesarean delivery for women at otherwise low risk for cesarean delivery. Methods By 2012, 38 states with 86 percent of United States births had adopted the U.S. Standard Certificate. The sample was limited to the 2,233,144 women who had a singleton, vertex, term (37–41 weeks) birth in 2012 and no prior cesarean. We modeled the likelihood of a primary cesarean by BMI category, controlling for maternal socio-demographic and medical characteristics. Results Overall, 46.4 percent of otherwise low-risk mothers had a prepregnancy BMI in the overweight (25.1%) or obese (21.3%) categories, with the obese category distributed as follows: obese I (BMI 30.0–34.9, 12.4%); obese II (BMI 35.0–39.9, 5.5%); and obese III (BMI 40+, 3.5%). Obesity rates were highest among American Indian and Alaska Native (32.5%) and non-Hispanic black mothers (30.5%). After adjustment for demographic and medical risks, the adjusted risk ratios (95% confidence intervals) of cesarean for low-risk primiparas were: 1.61 (1.60–1.63) for obese I, 1.86 (1.83–1.88) for obese II, and 2.21 (2.18–2.25) for obese III mothers compared with mothers in the normal weight category. Discussion A relationship between prepregnancy obesity and primary cesarean delivery among relatively low-risk mothers remained even after controlling for social and medical risk factors.

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Section: Discussionmentioning

confidence: 99%

Prepregnancy Obesity and Primary Cesareans among Otherwise Low‐Risk Mothers in 38 U.S. States in 2012

Declercq

MacDorman

Osterman

et al. 2015

Birth

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“…This approach requires public health organizations play a role in improving maternal and child health (MCH) clinical outcomes, but also early education, housing, community networks, and the private sector as they relate to influencing the quality of a school, safety of a home, connectedness to neighbors, and opportunity for employment across the span of one's life. To improve MCH across the life course, diverse multi-sector collaboration is required (Lu 2014). Models of collaboration describe processes and principles that coalitions adopt when convening stakeholders to address complex issues (e.g.…”

Section: Purposementioning

confidence: 99%

Assessing the Development of Collective Impact Initiatives Addressing Maternal and Child Health

Landry

Collie‐Akers

Foster

et al. 2020

Matern Child Health J

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Purpose To examine the extent to which communities participating in the Collective Impact Learning Collaborative (CILC) increased capacity to create conditions for collective impact (CI) to address racial disparities in maternal and child health (MCH) and align local efforts with state MCH priorities over a 12-month period. Description Eight communities participated in a learning collaborative that involved the provision of technical assistance via webinars, monthly team calls, and site visits to facilitate the development of a collective impact initiative. A Ready-Set-Go approach to technical assistance was used to guide the communities through each phase of development while also providing individual assistance to teams based on their capacity at the start of participation. Assessment A pre/post design measured change in capacity to engage in CI efforts over time. A survey designed to assess the completion of core tasks related to early indicators of CI was completed at baseline and 12 months later. Wilcoxon Signed Ranks Test and Mann-Whitney test determined statistically significant progress towards outcomes over 12 months and differences in progress between high-and low-capacity teams. Conclusion In 12 months, teams with little established groundwork made significant progress, in some ways exceeding progress of more established teams. Statistically significant progress was achieved in eleven of fourteen outcomes measured. Five teams aligned local efforts with state priorities after 12 months. Findings suggest technical assistance to establish conditions for collective impact can support progress even when pre-conditions for collective impact are not previously established.Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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“…Several states now track and monitor rates of adverse childhood exposures. Just over a decade ago, life course models were relatively marginal in the Maternal and Child Health (MCH) field but are now foundational in guiding MCH research, practice, and policy (Lu 2014). Within pediatrics, attention to poverty and the social determinants of children's health and development has also grown in response to increasing rates of US family poverty.…”

Section: 4mentioning

confidence: 99%

Health Disparities: A Life Course Health Development Perspective and Future Research Directions

Russ¹,

Kahn

Flores

et al. 2017

Handbook of Life Course Health Development

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Historically, research examining health status disparities between members in different socioeconomic status and racial/ethnic groups often focused on adults and the concurrent lifestyle factors that might explain health differentials. Recent years have witnessed an explosion of interest in the developmental origins of adult health and disease, and life course-oriented research has proliferated across the social, biological, and health sciences. This chapter describes how an integrated life course health development framework can be applied to advance our understanding of the dynamic and multilevel processes contributing to health disparities across lifetimes and even generations. Examples of recent research that has examined health status disparities from a life course perspective are provided, and research gaps and challenges are reviewed. The chapter concludes with a set of recommendations for a more strategic and responsive life course-informed research agenda that not only can fill in gaps in current knowledge, but also pave the way for the translation of this knowledge into improvement in practice, programs, and policy aimed at alleviating health disparities.

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Improving Maternal and Child Health Across the Life Course: Where Do We Go from Here?

Cited by 21 publications

References 21 publications

Prepregnancy Obesity and Primary Cesareans among Otherwise Low‐Risk Mothers in 38 U.S. States in 2012

Prepregnancy Obesity and Primary Cesareans among Otherwise Low‐Risk Mothers in 38 U.S. States in 2012

Assessing the Development of Collective Impact Initiatives Addressing Maternal and Child Health

Health Disparities: A Life Course Health Development Perspective and Future Research Directions

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